Glossary

Term · Postpartum: Your Body

pessary

Also: vaginal pessary, prolapse support device

A soft device placed in the vagina to hold up the bladder, bowel, or uterus. It is a non-surgical option for pelvic organ prolapse and is fitted by a clinician.

In plain words

A pessary is a soft device shaped like a ring, dome, or cube. A clinician places it in the vagina to help hold up organs that have sunk, such as the bladder or uterus. It can ease heaviness, pressure, and some leaking. Pessaries come in many sizes and styles, and a clinician must fit the right one. Some are worn all day, and some are removed at night and cleaned. They are not a cure, and they need checks from a clinician. Many mothers use a pessary while their tissues recover in the postpartum year. Surgery is another option if other care does not help.

The deeper version

A pessary is a removable vaginal device that provides mechanical support for , classified by design as support or space-occupying types. ACOG Practice Bulletin No. 214 (2019) lists pessary fitting as a conservative first-line option alongside , with surgery generally deferred in women who have not completed childbearing. Pessary use requires regular follow-up for fit, vaginal erosion, and discharge, and most complications are minor and manageable. The postpartum trajectory of descent, which often improves over 6 to 12 months and is prolonged by lactation, makes the timing of fitting a clinical decision.

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Sources

  • American College of Obstetricians and Gynecologists — Practice Bulletin No. 214: Pelvic Organ Prolapse (2019)

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